Level 4 Pacemaker and Similar Procedures in Utah
What 9 hospitals in Utah charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
Average charge
$120,548
Hospital list price billed
Average allowed
$17,658
Medicare's payment + patient's share
Medicare paid
$16,025
Average per service
State rank
#22 of 47
1 = lowest average payment
Hospitals in Utah billed an average of $120,548 for level 4 pacemaker and similar procedures, about 6.8 times the average medicare-allowed amount of $17,658. That payment is 5% below the U.S. average of $18,685.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $17,658Billed $120,548
About 15¢ was paid for every $1 hospitals in Utah billed for this service.
Utah hospitals: level 4 pacemaker and similar procedures
Every Utah hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Lds HospitalSalt Lake City | 22 | $86,923 | $17,417 | $15,785 |
| St Marks HospitalSalt Lake City | 18 | $301,476 | $17,417 | $15,782 |
| St. George Regional HospitalSt George | 17 | $70,230 | $18,651 | $17,019 |
| McKay-Dee Hospital CenterOgden | 15 | $79,859 | $17,417 | $15,785 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City | 15 | $50,469 | $17,417 | $15,785 |
| Utah Valley Regional Medical CenterProvo | – | – | – | – |
| Ogden Regional Medical CenterOgden | – | – | – | – |
| Davis Hospital and Medical CenterLayton | – | – | – | – |
| Timpanogos Regional HospitalOrem | – | – | – | – |
Lowest and highest allowed amounts in Utah
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| McKay-Dee Hospital CenterOgden, UT | $17,417 |
|---|---|
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $17,417 |
| Lds HospitalSalt Lake City, UT | $17,417 |
| St Marks HospitalSalt Lake City, UT | $17,417 |
| St. George Regional HospitalSt George, UT | $18,651 |
Highest
| St. George Regional HospitalSt George, UT | $18,651 |
|---|---|
| St Marks HospitalSalt Lake City, UT | $17,417 |
| McKay-Dee Hospital CenterOgden, UT | $17,417 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $17,417 |
| Lds HospitalSalt Lake City, UT | $17,417 |
Level 4 Pacemaker and Similar Procedures in other states
Questions
How much does level 4 pacemaker and similar procedures cost in Utah?
In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 9 hospitals in Utah was billed at $120,548 on average, while the average medicare-allowed amount was $17,658, of which Medicare paid $16,025. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Utah, average charges were 6.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.